Showing posts with label counseling. Show all posts
Showing posts with label counseling. Show all posts

20 April 2017

My Story in 'My Life and Mental Illness'

Here's the link: https://mylifeandmentalillness.wordpress.com/2017/04/20/keiths-story/

Here's the main page: https://mylifeandmentalillness.wordpress.com

I'd like to thank Maria for including my story in her blog. I am one of many people who are telling their stories in the fight against the stigma surrounding mental illness. These stories show that we're your friends, co-workers, family and people you meet everyday.

May, by the way, is Mental Health Month. Follow that link to find out all about what's being done to raise awareness and fight stigma. Also, a major point is that awareness is not enough - services have to be available and affordable or society will continue to pay the price.

I recently found out that in parts of rural America there may be one psychiatrist or psychologist for an area containing 50,000 people? And even if people find a mental health professional nearby, many times they don't have insurance - you know the drill.

In a way, mental illness touches everyone - probably someone you know. Like any other illness, it is treatable and people do recover and are productive members of society.

I am very lucky to have such a supportive wife and Facebook friends that put up with my screeds. Many people don't have such a support system and that's what this month is really all about.

I hope you'll take a few minutes and read these stories and look at some of the materials linked above.


08 April 2017

I Am (not) A Rock

Part of the life of most bipolar people is regretting not living the life they could have lived. In most respects this is caused by the illness – the inability to make a keep friends, jobs, other social contacts.

But environment plays a part too. If one has strong ties to neighborhoods, friends, parent’s friends and school mates, that can go a long way towards ameliorating the effects of bipolar behavior. In short – they already know you’re kinda weird and they accept the good with the bad.

I recently felt this little sting of regret when I saw a reunion of the eighth-grade class of one of the Catholic schools that fed into Lake Catholic where I went to high school.

They aren’t the only Catholic grade school to hold such reunions. There were a lot of Catholic grade schools in the 70s that had large classes (it was the height of the enrollment boom) that sent the majority of their students on to Lake. Now, many of them are struggling to hold on and some have had to close.

My elementary school I attended beginning in November of my kindergarten year, still exists. It grew a little and became more exclusive and expensive than it was. The nuns have pretty much disappeared, giving way to lay teachers. It is in many way, a shadow of its former self. Which is a good thing.

About six miles to the north is St. Mary’s Chardon where most of the people I rode the buses with went to school. It was a bus transfer point for Notre Dame’s students. It was also my family’s parish where we went to church.

But my mother (who was the sole decision maker here – the only time in our family she was allowed to make unilateral decisions, perhaps because she was a cradle Catholic and my dad was not) refused to send me there. Her story, passed down through the years, was that a teacher at St. Mary’s told her that if she wanted the better Catholic education available, to send me to Notre Dame.

But Notre Dame has the beginnings of what would become a long waiting list to get in, as the entire school from K-8 had room for less than 400 students. So, I went to a public school, Park Elementary (strangely enough with some kids that would transfer later to St. Mary’s) until November of my kindergarten year when I was unceremoniously yanked out of what I thought was a fun school and delivered to the tender mercies of the Sisters of Notre Dame.

To say this was a shock to my system was putting it mildly. I will skip details; I’ve discussed some of them earlier in this blog.

But the real mistake was probably made earlier when my parents decided to move from Mayfield Heights to Chardon. I was on the verge of kindergarten when they moved (August 1968) and was set to go to my neighborhood public school in the Mayfield system, one of the better and later, best in Ohio.

It was also the system where my mother taught second grade – not in the school I would have gone to, mind you. But there would have been some familial clout later when she because the teacher’s union president.

I often stare at the ceiling at 3 a.m. and wonder what my life would have been like to go to school with the kids I knew in my neighborhood, without ever having to be subjected to the ritualistic humiliation suffered at the hands of the nuns, largely for two reasons – my parents weren’t rich and I was a willful and smart kid who didn’t want to hide it.

Even though my mother would never admit, I was in the worst possible situation I could have been placed in. Even she would later admit that I learned almost nothing in school relative to what I taught myself by reading. Several years into my 8 ½ year sentence, even my father was making the case to my mother that perhaps I should transfer to St. Mary’s. If you knew my father, or have read about him here, you know that his objections were significant. Usually he didn’t care if I was suffering if it would ‘toughen me up.’ But he had seen enough of the nuns’ behavior and what went on in the halls that even he was disturbed.

I got off easy. We literally drove some kids right out of that school through bullying – kids that entered in the fourth and fifth grade. And yes, I participated lest they pick on me. And I was picked on enough being a fat kid with a funny last name, a geeky intelligence and a family nowhere near the economic level of the most popular kids. And there was nowhere to escape when you spend almost nine years with the same 26 kids (more or less) in the same room.

An aside: I often wonder if it ever occurred to her when she sent me to my first shrink between seventh and eighth grade, that my school environment would have had something to do with it?
But mom held fast. First, as I said, it was the only decision she had ever been allowed to make unilaterally in our family and second, she was one of these people who believed that once you committed to something, you should stick it out no matter what the damage or regret. After all, she didn’t have to be exposed to the nuns on a daily basis, she didn’t have to stand in a lonely outfield on a hot day waiting for the occasional fly ball that I would inevitably drop.

She also didn’t have to attend the Cub Scout pack comprised of people from the local elementary schools I didn’t go to when the majority of my Notre Dame classmates were part of the pack at. . .yep. . . St. Mary’s.

I KNOW this sounds like whining and I get that. But she couldn’t have devised a childhood to fuck me up more. I was surrounded by people I couldn’t bind with. And my insecurity as I got older just got worse as the mental issues took hold. Chicken or the egg? Causation or correlation? I’ll never know.

When I was paroled from Notre Dame and went to Lake Catholic I was very intimidated at first. But the people I met were not like the kids at Notre Dame. They seemed far more accepting. There were more people like me. And a lot less snootiness. After about a month, I was in smoothly and greatly relieved.

It wasn’t perfect but for me, no environment is ever perfect. But, although it isn’t the same most people, high school, looking back, was some of the best years of my life, especially after what I had gone through.

The years immediately after high school were full of effort on my part, to retain those friendships and connections. Eventually, slowly and sometime painfully, eventually, we all drifted apart.


I guess that’s why I was so jazzed about my class reunion last year – our 35th. Of all the friends I had known, these were the people I had gotten closest to. I was very curious whether I could make friends again and possibly keep some.

The reunion went very well. I thoroughly enjoyed it and re-connected with some people. Unfortunately, for some of these folks, my own posting about religion and Trump have undone some of these connections. To their credit, most of my classmates are still nominally Catholic, many seriously so. Catholicism and I parted company some time ago. I do miss the feeling of belonging to a community, having something in common with people and the strangely comforting rituals of the Mass. But for many, many reasons, I simply can’t go back. They have their rules and I respect them but I don’t think it can ever be again.

As for politics, the heartbreaking thing is in another time, this would not have been an issue. Unfortunately, we only had a small grace period before the election would tear some of those bounds asunder.

If we can’t find a way to get beyond it, and we probably can’t, I probably won’t go to the 40th reunion. I still have Facebook friends that I am trying not to lose or push away for various reasons. I hope they understand that I was always just a little – maladjusted. But I mean well.

When the elementary school classes of 77, whether they be St. Justin Martyr or St. Mary’s Mentor get together, I feel that tinge of what might have been. Although I recognize many of them who went on to Lake Catholic from the Facebook photos, I know that is not my tribe. I had four years with them – they had 12 and many grew up just streets away from each other, attended the same sports and social leagues and hung out at each other’s homes.

There were only four of us from Notre Dame that went to Lake, absorbed into a freshman class of 375 students – all boys, no girls.

And many of them still have friends and family in Northeastern Ohio. I’m two hours away in Pittsburgh so I can get up there if I want, but it’s not the same. I only really interact on Facebook.
Strangely, one of the guys I went to school with at both Notre Dame and Lake Catholic lives here in Pittsburgh. We used to be thick as thieves at Notre Dame. He won’t respond to my friend requests yet he is friends with some of our mutual friends at Lake Catholic. I would be lying if I said it didn’t hurt just a little.

I realize that a set of circumstances led me to where I am today – some I had control over, some I didn’t. I love Pittsburgh. I love my wife. But one should have friends outside of their spouse. My wife does – she’s tight with both her former classmates and all the friends she’s met in her knitting hobby.
My effort to do the same at work, at the Mustang club, at the local NAMI branch, at the improv school all have ended in either regret on my part or simply not being a good fit with others. But I have tried.

It’s difficult to talk about being lonely when part of the fault is mine. Most people who know me online don’t know how hard it is for me to go to work every day and when the day is over, I’m all out of spoons and find it difficult to leave the house for socialization. In fact, on my days off, I find I almost always have to work up the nerve to leave the house at all.

I try to be someone I’m not to make friends because I’m always worried that people won’t like the real me. And to those who always say, ‘be yourself’ I can go over my track record where that has lost me enough people in my life. And besides, this three-page whine has gone on far too long.


It just hurts.

26 September 2016

Well meaning advice and sick coping strategies

You have your coping mechanisms, I have mine.
Post Script: HOW COULD I MISS THIS? It's one of my favorite movies. Anyway, the subtitle for this piece should be:

How I learned to stop worrying and love the bomb.

The Mighty has run another interesting article by an author who deals with a problem very familiar to me: pre-worknight anxiety (is that a thing? it is now).


3 Tips for Managing Sunday Night Anxiety

The author, Andrea Addington, is a self-desribed (and commonly known as) an 'Anxiety Counselor' who plies her trade in the wilds of New Brunswick. Apparently she has mad marketing skills and is attractive enough (and young enough) to make it into The Mighty. That aside, she offers a basic set of pretty good techniques to help the garden variety anxious ready for their workweek.

I wish these techniques worked for me. 

They deal with WORK DEMANDS which are a real thing for a lot of people with anxiety. I get them too, as an added bonus to the real 800 lb. gorilla which is a hostile workplace which Addington doesn't address. 

What Addington describes are what I refer to as the 'mind tricks' that I have tried several times (including failing miserably at meditation) that no longer work.

Ergo, Ativan. Ergo, addiction.

But I sure can identify with what she writes here about her 'catastrophic thinking:'

“Oh no I’m going to go into work Monday morning and have a ton of emails to respond to, I won’t be able to get it done in time and my boss is going to get upset with me and think I am a terrible employee, then I will have an awful performance appraisal and get fired and wont be able to pay my mortgage and lose my house and end up homeless!” 

I am dead serious when I write that that 'fired' and 'lose my house and end up homeless' part is the end of pretty much every fear I have.Every. One.

So I thought, here it is, Monday, which is my Sunday, my I don't have to run day (OK, I couldn't resist the Bangles reference), and even though I work four 10 hour weeks to get a three day weekend every weekend (I know: what the hell am I complaining about?), so what would my paragraph of fear contain?

“Oh no I’m going to go into work Monday  Tuesday morning and have a ton of emails to respond to, one of which might be a summons to another inquisition about something I said that was jumped on as 'disturbing' by the people I work with who are constantly listening for me to say something they can take the wrong way. Despite getting my work done in time and in good order, they will eventually find some other rationale to convene another administrative investigation board, and, because I already have a reprimand in my file for quoting a movie line,  I won’t be able to get it done in time and my boss is going to get upset with me and think I am a terrible employee, then I will have an awful performance appraisal and I'll get fired, [redacted], but at least I won't have to work at the VA anymore!” 

But this is defeatism, yes, and it's not like I still try to play the psychological mind tricks on myself to put all this horror in perspective. I mean, seriously, how would you cope at work when behind every set of smiling eyes you see in your office you know they're just waiting to pounce? It's not paranoia when it's already happened more than once. And going back to the story of almost being killed on my front step by a SWAT team is getting a little tiresome. 

Yes, I'd quit if I could and I almost got a PR job locally in another Federal agency until one (or more) of my coworkers called said agency and, well, what are the odds of two positions, advertised nationally, going to two employees from my office?

Anyway, with the reprimand in my file, that cuts off any chance of getting another Federal job. So I am well and truly fucked trapped. I have to deal, I have no choice. Private industry? Again, give me a break? Two words: age discrimination. PR is a young person's game. I don't even bother looking at Linked In anymore.

So I how do I get ready for Tuesday?

This article has me thinking about things I can and could do to help, so let me blue sky a little here.

1. Ativan - the go-to benzo. The problem of course is with a dependence on it, one has to ramp up the dosage in sudden crisis situations. But it's there if needed. Like the old Dr. Pepper commercials, I tend to take it at 10, 2 and 4. 

2. All my other meds. What do they do? I don't know anymore, but if I stop taking them bad things will happen. Big Pharma loses a point or two on Wall Street. Not advised. 

3. Prayer. I don't mean to offend anyone but for me this is a desperation move. I'm always reminded of a Mad Magazine spoof from my youth, titled 'You Know You're A Football Fan when' where one of Jack Davis' (RIP) football fans is on his knees in front of the TV and the caption reads "you rediscover a childhood prayer when your team is behind by six points with one minute left in the game." 

One day, I don't remember what was happening, the Ghost of Catholicism Past pushed through all the shit that normally clutters my waking stream of thoughts and blurted out:

"Remember oh most gracious Virgin Mary, that never was it known, that anyone who fled to your protection, implored your assistance, or sought your intercession, was left unaided . . ."

Good Catholics (or those with good memories) I'm sure recognize that as the opening line of The Memorare. It's an intercessional prayer to the BVM (Blessed Virgin Mother) to get the pray-er out of some serious shit.

Then, of course, when you want to call out the heavy artillery (no offense BVM), there's this:

"St. Michael the Archangel, defend us in battle. Be our defense against the wickedness and snares of the Devil. . . "

Of course, I feel GUILTY when I utter these prayers because I have not turned out to be a Good Catholic, and where the hell do I get off saying these prayers when I am not in a state of Grace? Do I really think that God, whom I'm not sure exists in the form I was taught, is going to even pay scant attention to the prayers of someone who only rediscovers their childhood religion when they have nothing more to fall back on?

 But hey, deus ex machina and all that. 

4. Walking around the complex. This doesn't seem to help anymore because it leads right back to my office and I'm sure when I'm out I catch the cops giving me the look. It's not a "short calming break." It's more like taking a stroll around the prison yard. But in this one, I can buy a candy bar; see: fat.

5. Relaxation tapes. There is no sanction against listening to music at your desk in my office as long as it doesn't disturb anyone and I have tried this numerous times. Again, it doesn't seem to work anymore. It throws off my concentration when writing. Then I have to lean back, close my eyes and listen and you can imagine the fear I have of being caught doing that! If I do it for two minutes, that will be the two minutes my boss comes through the door. I try music as well, but I find that classical music is what I reserve to myself when I am home or in a safe place and my good old time rock and roll just reminds me when life was not so painful (and it seems every song has a memory attached to it), so I pretty much spend my time in silence.

6. Reading self-help inspirational pieces on the Internet. See above. They're column fodder, nothing else (it's all been done, like 29 shrinks). 

Ah hell, what's the point? Andrea has it all down pat for her situation. Good for her. 

The brutal truth for many of us is, at some point, life becomes a slog and a bad one at that. I have been able to punctuate it with brief but happy moments of diversion but as they say, the laughs are getting fewer and farther between. 

The only real mental coping mechanism that works is reading various websites that remind me that the world is truly going to hell in a hand basket. Between the US and Russia perhaps willing to start a war over Syria, the North Korean madman anxious to try out his new nuclear toys, the artifice of an unsustainable economy disintegrating and the acceleration of global warming and the rising extinction of species, plus the fact that the next leader of the US is either going to be a warmongering, psychopathic liar or an arrogant, fascistic psychopath, I think I'm in pretty good stead to this - this too will pass - into some kind of nuclear fireball. 

It's sick, but it's all I got. 

. . . some sunny day

23 September 2016

Suicidal Ideation? Keep your mouth shut!

I've just read something that has made me so mad, I've actually gotten chest pains and shortness of breath.

A University Is Threatening to Punish Students Who Discuss Their Suicidal Thoughts With Friends

The school is Northern Michigan University. The student was raped and was seeking help from the university. She could do so under one condition:

"You can use any of the resources listed below without worry. Second, Engaging [sic] in any discussion of suicidal or self-destructive thoughts or actions with other students interferes with, or can hinder, their pursuit of education and community. It is important that you refrain from discussing these issues with other students and use the appropriate resources listed below. If you involve other students in suicidal or self-destructive thoughts or actions you will face disciplinary action. My hope is that, knowing exactly what could result in discipline, you can avoid putting yourself in that position"

The shithead fronting this policy is the Assistant Dean of Students, Mary Brundage.

This is her:

Mary Brundage

Associate Dean of Students
mbrundag@nmu.edu
Mary has a bachelor of science degree in communication disorders and a master of public administration degree, both from Northern Michigan University. She worked at NMU for three years as a resident director. Mary worked at Western Michigan University as student employment coordinator, assistant director of career and student employment services and assistant director of residence life for student conduct.


I wonder, really wonder, if Ms. Brundage or a daughter of hers was a victim of campus rape whether she would agree with policy she's apparently sworn to defend? Or maybe the policy is just for 'other people's children.'

We tell people to TALK about when they're feeling suicidal, so a caring person can get them help.

Do that at NMU and you may have your butt thrown out of the University.

Do that at my employer, VA Pittsburgh, and you could have a SWAT team at your door ready to kill you.

Often TALKING about one's feelings with trusted people helps the afflicted work out the issues with a person who cares and really listens. It can make all the difference in the world.

But not at NMU or VA Pittsburgh where your 'trusted friends' run to report you to their local Gestapo.

I can't tell you just how angry I am right now. We say, we say, we say, ad nauseum, how much we care. Hell, we even have a WHOLE MONTH dedicated to Suicide Prevention.

BUT - more often than not, people who express suicidal ideation - in any form - are PUNISHED, shamed or worse. Because as a society, the dirty little secret is we really don't care. We LOVE punishing people in American society. Hell just take a look at what our sainted government is doing to Chelsea Manning (remember: we don't torture - GOT THAT?!). And this is under the sainted Obama, Think it will change with Hillary or Trump? They've got money to make, people to see, not time to worry about the losers.

They don't want Chelsea to commit suicide, even though it would 'save the taxpayers money.' They haven't finished gleefully torturing her yet for whatever jollies these sadists are getting.

I'm just too angry to keep writing now. I'm hyperventilating and this is not good for me.

What the hell kind of society do we live in anyway? Pro-life? Please. 


22 September 2016

The Shame Game or how to lose a crappy psychologist in six sessions or less

This story highlights the fact that there are a great number of shitty mental health professionals out there:

9 women share horror stories about being shamed for their mental health — by doctors

I think it is my fate to have met most of them.
This is a big one

As I read this story, I recalled some of these things happening to me or variations thereof but for women, apparently, it's much worse since many in the 'caring professions' don't take them seriously.

Of course, this reminded me of the near shouting match I got into with my last dud of a psychologist. It was not the first time I have left a psychologist under less than cordial conditions.

And I offered a little advice about feeling out your counselor early in the sessions to see what their basic outlook on life is to include politics, religion, social values, etc. Because believe me, if you believe that being totally honest with your shrink and that honesty reflects something opposite of their belief system, you cannot trust that they will remain impartial.

Shocking, isn't it? No, not really. Many people get into the 'caring professions' because they are as fucked up as their patients. Many of them are social voyeurs and many of them also like the power trip of playing puppet master with someone's life. And, for the most part, it's relatively easy work if you're into that sort of thing.

The worst part, as always, is paperwork and paying malpractice insurance. Understand that it's incredible difficult to win a lawsuit against a psychologist because, well, they're good at obfuscation and the burden of proof is very high.

So my advice is this:

1. DO research your potential psychologist or psychiatrist online. Believe half of what you read from both the counselor's write up (my God how some of them lie!) and the reviews from patients. Remember the truth lies somewhere in the middle and it is up to you to make that call.

2. Take careful note of the kind of practice they have? Do they specialize in adult, senior or child psychology?

3. In the same vein, read what conditions they say they specialize in. This has become less useful as time has gone by since to practice build they need to pretty much list every condition they spent a chapter in school studying to get as many prospective clients as possible. Once you're on their couch they can wing it (books, Internet, etc.) You, nine times out of 10, won't be any the wiser. After all, you're in distress and they're the professional.

4. Forget about finding any lawsuits, board actions or any other sanctions. They aren't there.

5. For God's sake, make sure they accept your insurance before you go - and even then, double check it with your insurance company. I had a very nasty experience with one charlatan who flatly stated they accepted my insurance at 1 p.m. on the afternoon I finalized my appointment, but once I got on her couch, all of the sudden, I found out she didn't accept my insurance. She had four hours to call and tell me this but chose not to, instead, she tried to work out some kind of deal with me in the therapy room. It sounded like I was arguing with a car salesman and I literally fled the place.

6. Ever have a friend say to you I have such a great shrink - she'd be great for you - you must see her? Um, no. Don't. Each person is a whole different kettle of neurons and you don't want a friendship to come between you and a counselor.

Upon entering their office:

7. If they have 'Psychology Today' on the coffee table, leave immediately. No self-respecting therapist should read or foist that trash on anyone.

8. Note how you are greeted. Do they seem warm (remember how easy it is to fake sincerity though)? Or, do they seem distracted and treat you like another profit center? Shrinks who work for HMOs are notorious for this.

9. Don't be put off by the paperwork. They ALL have to have you sign disclosure statements. BUT if they drop them in your lap with a pen and don't go over them with you, that's a big red flag.

10. Set parameters of what you want to accomplish first. You have some basic issues and you're counselor should have some ideas about how to treat them. Make sure you are comfortable with their approach. Your gut is really the best judge. If things seem creepy and off, they probably are. What do you hope to achieve in therapy, is an honest first question. Tell me about your relationship with your mother, is not.

11. There is a delicate balance between talking and listening. The longer I saw my last psychologist, the more red flags went up in my head since I was doing 98 percent of the talking. I would come in, she would ask so how are you doing today, and then listen to me ramble on uninterrupted for most of the session. If you ask your counselor to respond to something you said, or you ask them a question and they turn it back on you or brush it off or give short non-answers, you have a problem. They're cashing your insurance company's check and you're providing entertainment.

12. If they're advice doesn't seem to make sense for your situation, tell them why. If they get arrogant about it, that's a good sign that it's time to leave. If at any time you feel you're being intimidated to accept any course of treatment - LEAVE! Just because you have a mental illness does not mean you can't trust your instincts. OK, sometimes, but rarely.

13. This should go without saying but nowadays one must: no touching, no suggestions of sex with you (don't laugh, the great M. Scott Peck has sex with his clients - he should have been thrown in jail not given book deals), I mean any violation of your personal space means it's time to leave - NOW! In some cases dealing with sexual abuse, certain probing questions about one's sexual practices may be fair game - but not when you're presenting for Generalized Anxiety Disorder.

14. Never commit to any number of sessions. Ever. If you feel you are being pressured to do so, leave. Committing to a number of sessions is a guilt trip mechanism designed to keep you on the couch long after you're so uncomfortable with your therapist the thought of going there makes you break out in hives. Basically, you're making their car payments.

15. If they're selling you their books, methods, tapes, keychains, etc. Leave. Not professional.

16. This one is going to upset some people but here goes: if you are a gun owner DENY IT if asked and don't ever bring it up unasked. With some counselors, at that point, you have been tried, convicted and sentenced in their mind as some kind of dangerous lunatic who either has a warped idea of manhood or is turned on by phallic symbolism. Or a Republican. Any which way, any useful therapy just ended and now you are a target.

17. Always remember YOU are the one in charge and YOU are the one determining whether is counselor is right for you (unless of course, you say you're going to kill yourself or someone else - don't do that). If at some time, a counselor says they are not right for you, don't argue - they are doing you a favor. BUT - if they give you referrals, never use them. It's just their friends passing people around. Go back to your own research.

Well, I'm sure I'm missing a few but these are based on my own decades of experience and your mileage of course, may vary. In any case, should you decide on seeking counseling, and you forget everything else I've written, remember this: let the first few sessions truly be a feeling out time where you determine your level of trust and comfort. When you're convinced you've reached that point, then you can go on about why you're bothered that your spouse allows the dog in the bedroom during sex.